Organization Active NPI

Lenox Eye Assoc PC

Doing business as Optica Universal

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1972533156
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001104 Issued in GA
Legal business name
LENOX EYE ASSOC PC
Doing business as
Optica Universal
Practice address
1418 Dresden Drive
Suite 150
Atlanta, GA 30309
Phone
(404) 842-1950
Fax
(404) 239-0298
NPI assigned
Jul 4, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Julie Ann Sorrow
Title
Office Manager
Phone
(404) 320-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001104 GA Primary

Addresses

Primary practice location

1418 Dresden Drive
Suite 150
Atlanta, GA 30309

Mailing address

2369 Buford Highway
Suite 820
Atlanta, GA 30329
Phone (404) 320-9100

Other identifiers 1

IdentifierTypeStateIssuer
348726036BMedicaidGA

Other names 1

  • Optica Universal Doing business as

National Provider Directory

National Provider Directory

Locations

1418 Dresden Dr NE
Ste 150
Brookhaven, GA 30319
Phone (404) 239-0272

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1972533156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 BUFORD HIGHWAY",
            "address_2": "SUITE 820",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30329",
            "telephone_number": "404-320-9100",
            "fax_number": "404-239-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 DRESDEN DRIVE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-842-1950",
            "fax_number": "404-239-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX EYE ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "SORROW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-320-9100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348726036B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optica Universal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.